11D0960343 CLIA NUMBER - AUGUSTA RETINA-LASER SURGICARE

Laboratory Demographics

  • CLIA Code: 11D0960343
  • Facility Name: AUGUSTA RETINA-LASER SURGICARE
  • Facility Address: 3685 WHEELER RD STE 202
    AUGUSTA, GA
    ZIP 30909
  • Facility Phone: 706 650-0061
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DENNIS M. MARCUS
  • NPI Number: 1235118043
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D0960343
LAB Type Ambulatory Surgery Center
Facility Name AUGUSTA RETINA-LASER SURGICARE
Street 3685 WHEELER RD STE 202
City AUGUSTA
State GA
ZIP 30909
Phone 706 650-0061
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/7/2025
Certificate Expiration Date 5/6/2027
Facility Type Ambulatory Surgery Center
Lab Director DENNIS M. MARCUS

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This page was last updated on: 9/29/2025